CN-370000-GC928-T8.pdf

DEP Contract No. GC928, Attachment C, Page 1 of 4

Attachment C

Florida Department of Environmental Protection Task Assignment Notification Form for CITRUS COUNTY

Contract No. GC928 Task No. 8 Amendment No. Date: June 15, 2020 Performance Period: Effective the date of execution of this Task Assignment or July 1, 2020, whichever is later, and shall remain in effect until June 30, 2021.

Description:

The Contractor shall complete the following services in accordance with the requirements in DEP Contract No. GC 928:

- Conduct routine compliance inspections for storage tank systems at the 58 facilities within Sumter County, identified in Exhibit #1, by May 31, 2021.

- Conduct additional inspection noted as Complaint Inspection on the Routine Compliance task list to clarify/verify registration at the facilities identified.

- Comply with the Invoice Procedure (Page 2.

- Utilize the new Contractual Services Invoice Form for all monthly invoices (Guidance Document E) available on line at: https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice.

- Inspection staff to attend annual meeting Spring 2021.

The Enforcement County Contractors must perform all Enforcement Actions in accordance with Guidance Document F (Level of Effort). Guidance Document F available online at:

https://floridadep.gov/waste/permitting-compliance-assistance/documents/f-level-effort-guidance

Contractors are to follow Scope of Work (Attachment A) and appropriate Guidance Documents attached to this Task Assignment via the following links:

Guidance Document A – Storage Tank System Program Violation List https://floridadep.gov/waste/permitting-compliance-assistance/documents/guidance-document-storage-tanks- program-violations

Guidance Document B – Florida Inspections Reporting for Storage Tanks (FIRST) User Requirements https://depedms.dep.state.fl.us/Oculus/servlet/shell?command=getEntity&[guid=11.3384454.1]&[profile=DWM

Guidance Document C1 – Instructions for Conducting Sampling During Aboveground Storage Tank Closure https://www.flrules.org/gateway/readRefFile.asp?refId=11184&filename=InstructionsforConductingASTSamplingJ uly2019.pdf

Guidance Document C2 – Instructions for Conducting Sampling During Underground Storage Tank Closure https://www.flrules.org/gateway/readRefFile.asp?refId=11183&filename=InstructionsforConductingUSTSamplingJ uly2019.pdf

Guidance Document D1 – Compliance Verification Program Local Review Form https://floridadep.gov/sites/default/files/D1-Compliance%20Verification%20Program%20Review_30Jan17.docx

Guidance Document D2 – Contractual Review Form https://floridadep.gov/waste/permitting-compliance-assistance/documents/d2-contract-review-form

Guidance Document E – Contractual Services Invoice https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice

Guidance Document F – Level of Effort Guidance https://floridadep.gov/waste/permitting-compliance-assistance/documents/f-level-effort-guidance https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice https://floridadep.gov/waste/permitting-compliance-assistance/documents/f-level-effort-guidance https://floridadep.gov/waste/permitting-compliance-assistance/documents/guidance-document-storage-tanks-program-violations https://floridadep.gov/waste/permitting-compliance-assistance/documents/guidance-document-storage-tanks-program-violations https://floridadep.gov/waste/permitting-compliance-assistance/documents/guidance-document-storage-tanks-program-violations https://depedms.dep.state.fl.us/Oculus/servlet/shell?command=getEntity&%5bguid=11.3384454.1%5d&%5bprofile=DWM https://www.flrules.org/gateway/readRefFile.asp?refId=11184&filename=InstructionsforConductingASTSamplingJuly2019.pdf https://www.flrules.org/gateway/readRefFile.asp?refId=11184&filename=InstructionsforConductingASTSamplingJuly2019.pdf https://www.flrules.org/gateway/readRefFile.asp?refId=11183&filename=InstructionsforConductingUSTSamplingJuly2019.pdf https://www.flrules.org/gateway/readRefFile.asp?refId=11183&filename=InstructionsforConductingUSTSamplingJuly2019.pdf https://floridadep.gov/sites/default/files/D1-Compliance%20Verification%20Program%20Review_30Jan17.docx https://floridadep.gov/waste/permitting-compliance-assistance/documents/d2-contract-review-form https://floridadep.gov/waste/permitting-compliance-assistance/documents/e-contractual-services-invoice https://floridadep.gov/waste/permitting-compliance-assistance/documents/f-level-effort-guidance

DEP Contract No. GC928, Attachment C, Page 2 of 4

Guidance Document G – Guidelines for Case Referrals https://floridadep.gov/sites/default/files/G-Guidance-Case-Referrals_30Jan17.docx

Guidance Document H – Contractual Service Payment Calculation https://floridadep.gov/waste/permitting-compliance-assistance/documents/h-contractual-service-payment-calculation

Guidance Document I – DEP Directive 923 Settlement Guidelines for Civil and Administrative Penalties https://floridadep.gov/sites/default/files/DEP_Directive_923_and_GuidelinesforStorageTankViolations.pdf

Variable Inspection Approval

Certain variable inspections, e.g., (compliance assistance – component, compliance assistance – reinspection, and complaint), require pre-approval from the Department. The County/Local Government Contractor must send a request via email to STR_VARIABLES@FloridaDEP.gov for approval. The Department will respond with an approval email. The County/Local Government Contractor must submit a copy of the approval email with the appropriate invoice.

Facility Inspections Swap

If during the task assignment period, a county inspection program determines that an assigned facility should not be inspected for reasons such as the assigned facility has closed, et cetera; then a swap should be requested as soon as possible. The County/Local Government Contractor must send a request, via email, to STR_SWAPS@ FloridaDEP.gov for approval. The Department will respond with an approval email listing the replacement facility.

Invoices

Review of Inspections: The Payment Calculation Sheet shall be submitted no later than the 5th of each month (excluding weekends and state holidays) by the county to STR_Invoices@ FloridaDEP.gov. The Department will review in FIRST each variable inspection listed on the Payment Calculation Sheet to ensure that it is correctly invoiced. The Department will ensure that each routine compliance inspection on the Payment Calculation Sheet is also listed on the task assignment facilities list. Upon completion of the review, the Department shall report via email to the Contract Manager and the County/Local Government Contractor that the review of the inspections has been completed and if any known contractual obligations have not been met.

Invoice Submission: All invoices with the verified and approved Payment Calculation Sheet by the Department will be directly submitted by the County/Local Government Contractor to the STR_Invoices@FloridaDEP.gov by the 15th of each month. Submission of invoice shall be via email to: STR_Invoices@FloridaDEP.gov, copy Roger.Ruiz@FloridaDEP.gov, consisting of a single PDF package.

The order of documents in the complete PDF package:

1) Contractual Services Invoice

2) Verified Payment Calculation Sheet (please make sure the month of services rendered appears below the “Invoice

Period”)

3) FIRST Report (Compliance and Activity by Date Range)

4) Tracking Form (Monthly percentage of Routine Inspections Completed)

Payment Schedule:

Compensation will occur on a monthly basis, per the fee schedule listed in Guidance Document H.

Invoices are due no later than the 15th day of the month proceeding work activity. The twelfth month invoice will be due to the Department on the first business day of July. The Contractor must submit a signed ‘Contractual Services Invoice’ (Guidance Document E) noting the quantity and location of inspections.

https://floridadep.gov/sites/default/files/G-Guidance-Case-Referrals_30Jan17.docx https://floridadep.gov/waste/permitting-compliance-assistance/documents/h-contractual-service-payment-calculation https://floridadep.gov/sites/default/files/DEP_Directive_923_and_GuidelinesforStorageTankViolations.pdf mailto:STR_VARIABLES@FloridaDEP.gov mailto:STR_Swaps@dep.state.fl.us mailto:STR_Swaps@dep.state.fl.us mailto:STR_Invoices@dep.state.fl.us mailto:STR_Invoices@FloridaDEP.gov mailto:STR_Invoices@FloridaDEP.gov mailto:Roger.Ruiz@FloridaDEP.gov

DEP Contract No. GC928, Attachment C, Page 3 of 4

Required Signatures:

FDEP Contract No:

GC928

Task Assignment No:

Date: DEP Task Manager:

Roger Ruiz

Project: GC928-8

Contractor Name: Citrus County Health Department Contractor Representative:

Glenn W. Bryant

Phone:

352- 527-5307

Email:

Glenn.Bryant@flhealth.gov FDEP Contract Manager:

Roger Ruiz

Phone:

850-245-8854

Email:

roger.ruiz@floridadep.gov Task Description:

Conduct routine compliance inspections at the facilities identified in Exhibit #1 (provided electronically). Perform inspections for all reported complaints, discharges, installations and closures involving storage tank systems within the county or counties on Page 1 of this Task Assignment. Conduct additional inspections noted as Complaint Inspections on the Routine Compliance task list to clarify/verify registration information at the facilities identified.

Attend 2020 - 2021 training meeting.

Deliverables:

Submit Contractual Services Invoice with verified Payment Calculation Sheet, along with FIRST Report (Compliance and Activity by Date Range) and Tracking Form (Monthly percentage of Routine Inspections Completed) Compensation will only occur for routine annual compliance inspections conducted at the facilities explicitly identified Exhibit 1 and variable inspections identified in supporting documentation.

Submit travel reimbursement forms, supporting receipts, and agenda for 2020-2021 training.

Performance Measures:

The CONTRACTOR shall complete the following percentage of the required routine compliance inspections unless otherwise indicated in the Task Assignment:

(1) After four (4) months, thirty-three percent (33%) of inspections shall be completed.

(2) After eight (8) months, sixty-six (66%) of inspections shall be completed.

(3) After (12) months, one hundred percent (100%) of inspections shall be completed.

Financial Consequences:

No payment will be made for deliverables deemed unsatisfactory by the Department. In the event that a deliverable is deemed unsatisfactory by the Department, the Contractor shall re-perform the services needed for submittal of a satisfactory deliverable, at no additional cost to Department, within thirty (30) days of being notified of the unsatisfactory deliverable.

If a satisfactory deliverable is not submitted within the specified time frame, the Department may, in its sole discretion: 1) assess liquidated damages if specified in the Contract or its attachments; 2) request from the Contractor agreement to a reduction in the amount payable; 3) suspend all Work until satisfactory performance is achieved, or 4) terminate the Contract for failure to perform.

Florida Department of Environmental Protection

TASK ASSIGNMENT FORM

mailto:roger.ruiz@floridadep.gov

DEP Contract No. GC928, Attachment C, Page 4 of 4

Start Date: 07/01/2020 Completion Date: 06/30/2021

Total Task Value: $ 41,599

Signatures and Date:

Roger Ruiz

Contract Manager, FDEP

Signature Date

Monica Brady Budget Representative, FDEP

Glenn W. Bryant Contractor, Contract Manager

Teresa Booeshaghi Contract Authority, FDEP Signature Date

Encumbrance Information:

Budget Entity

Project

Grant

Org Code Category & Year

Fund Special Category

Object Code

EO Amount

37450300 GC9228 37450104000 00 212001 100029 132500 JD $41,599

Total: $41,599

Florida Department of Environmental Protection

TASK ASSIGNMENT FORM

Roger Ruiz Digitally signed by Roger Ruiz Date: 2020.06.22 07:42:32 -04'00'

Monica J. Brady Digitally signed by Monica J.

Brady Date: 2020.06.29 13:45:51 -04'00' 06/29/2020

Digitally signed by Glenn W_ Bryant DN: C=US, OU=EPH, O=FL DOH Citrus, CN=Glenn W_ Bryant, E=glenn.bryant@flhealth.gov Reason: I agree to the terms defined by the placement of my signature in this document Location:

Date: 2020-06-19 14:07:35 Foxit Reader Version: 9.3.0

Glenn W_ Bryant 06/19/2020

Teresa Booeshaghi Digitally signed by Teresa Booeshaghi Date: 2020.06.30 08:08:57 -04'00'